Journal article
Case Series of Adaptive Changes in Clinical Practice and Trainee Education for Cesarean Delivery due to Drug Shortages of 0.75% Hyperbaric Bupivacaine in 2018
A & A case reports, Vol.14(7), pp.e01214-e01214
05/01/2020
DOI: 10.1213/XAA.0000000000001214
PMID: 32371821
Abstract
Hyperbaric bupivacaine, the local anesthetic routinely selected for single-injection spinal anesthesia for cesarean delivery (CD), was in short supply in 2018. Hospital stocks were significantly less than before and after the shortage period. We developed a contingency plan to communicate with pharmacy and retrieve, restrict, and reallocate remaining stocks of drug to continue performing CD under neuraxial anesthesia, specifically spinal anesthesia for emergency CD, when time appropriate. Retrospective chart review revealed that elective and emergency CDs were performed without delays or increase in rate of general anesthesia during this period. However, trainees had fewer opportunities to perform spinal anesthesia for CD.
Details
- Title: Subtitle
- Case Series of Adaptive Changes in Clinical Practice and Trainee Education for Cesarean Delivery due to Drug Shortages of 0.75% Hyperbaric Bupivacaine in 2018
- Creators
- Kokila N. Thenuwara - University of IowaFranklin Dexter - Univ Iowa, Iowa City, IA USAUnyime S. Ituk - Univ Iowa, Iowa City, IA USADavid Weetman - Univ Iowa, Iowa City, IA USA
- Resource Type
- Journal article
- Publication Details
- A & A case reports, Vol.14(7), pp.e01214-e01214
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1213/XAA.0000000000001214
- PMID
- 32371821
- ISSN
- 2325-7237
- eISSN
- 2325-7237
- Number of pages
- 3
- Language
- English
- Date published
- 05/01/2020
- Academic Unit
- Health Management and Policy; Anesthesia
- Record Identifier
- 9984295959302771
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